CMS Price Transparency Data

Neurobehavioral status check

Facility: Providence St Mary Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$281
about 1.3× the $221 Medicare rate · typically $281–$365
modeled estimate · not a bill or quote
What this hospital charges insurers
$278
About the fair price
about $3 under the fair price · 1.3× Medicare
Medicare pays $221 Fair price $281 This hospital $278

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 WA hospitals compared.

Cheapest $73 Priciest $404

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $281 (about 1.3× the $221 Medicare rate). Providence St Mary Medical Center charges insurers about $278 — about the fair price. Located in Walla Walla, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $253 115%
Blue Cross Blue Shieldmajor $260 - $1,736 118%
Aetnamajor $248 - $250 112%
Kaiser Permanentemajor $241 - $708 109%
+ 2 smaller / regional plans $265 - $445

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Facility Profile & Credentials

  • Address: 401 W Poplar St, Walla Walla, WA 99362
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals